“…Notably, Rb1 was reported to have pleiotropic cardiovascular protection effects on multiple molecular targets independently, mainly including AMPK, PI3K/Akt, NF-κB, and mitogen-activated protein kinase (MAPK) pathways and endoplasmic reticulum stress. AMPK participates in the cardiovascular protection effect of Rb1 against reperfusion injury/myocardial ischemia, coronary atherosclerotic, heart failure, cardiac hypertrophy, and fibrosis by mediating apoptosis (Kong et al, 2010), autophagy (Qiao et al, 2017;Dai et al, 2019), mitochondrial fission (Li et al, 2016), fatty acid β-oxidation (Kong et al, 2018), and aging (Zheng et al, 2020). In the meantime, the changes in Akt signaling are of importance in atherosclerosis, cardiac hypertrophy, vascular remodeling, and many other cardiovascular pathological processes.…”